Application Form For Paid/ Volunteer Roles Involving Children, Young People And Vulnerable Adults printable pdf download

Diocese of Cork & Ross

APPLICATION FORM FOR PAID/ VOLUNTEER ROLES INVOLVING

CHILDREN, YOUNG PEOPLE AND VULNERABLE ADULTS

If you have a disability that may make the completion of this form difficult, the form can be completed by someone on

your behalf however we will still require your signature.

(Please complete in BLOCK CAPITALS using black ink)

Please state name of Parish,

Religious Order or Organisation:

_____________________________________________________________________________

Role(s) Applied For:

_____________________________________________________________________________

Title: Mr/Mrs/Miss/Ms/Other

(please specify)

__________________________

Current Surname:

_____________________________________________________________

First Names:

______________________________________________________________

Name Known By (If applicable):

__________________________________________________

Full Address:

_______________________________________________________________________________________________________________________________

Preferred Contact Numbers: ___________________________________________________________________________________________________________________

Email:

___________________________________________________________________________________________________________________________________________

Are you (please tick)

Employed

Unemployed

Student

Homemaker

Retired

Other __________________

Please tell us something about yourself – any interests or experience you have which are relevant to the

role(s).

________________________________________________________________________________________________________________________________

Have you previously been involved in voluntary work or Church ministry?

Yes No If yes, please give details:

_______________________________________________________________________

Have you previously received any training for working with children?

Yes No If yes, please give details.

_______________________________________________________________________

Do you have any current medical conditions you feel we should be aware of in order that we can ensure

your wellbeing whilst you undertake the role(s)?

Application Form For Paid/ Volunteer Roles Involving Children, Young People And Vulnerable Adults